Claim total
$94.51
base $93.39 · payer covered $75.61
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 1996-06-24
- Stop
- 1996-06-24
The parties
- Patient
- patient Denny Rodrigo Cole
- Provider
- provider Grant Mitchell
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicare
Record id
01d0b380-425a-3ac7-cb83-2a9a30baa08b